I saw Dr. D. yesterday for my follow-up appointment from all of my blood-work and the Follicular Maturation Series I had done in December. (This is long and full of details, feel free to skip it :)).
The Tests Themselves
Only a couple of my blood-draws were painful, but no major bruising, no bleeding, and no "I need to try agains", so I consider that success!
My FMS went very well, other than my lack of CM which just made things a bit dry and uncomfortable. (I switched from unscented to scented dryer sheets AND was just a bit stressed about this whole thing.) My poor lady parts were feeling a little abused, so much so that I said to The Man one night "I just need a break." BUT, the lady who did my scans. Her name was Rita and she was truly a gift from God. She was so kind, on the first day she said "I've never seen ultrasound orders like this, so I want to be sure I understand them and do the best I can because I know how much of your future depends on this." Um, yea, let's just say I had to resist the urge to give her a huge hug. Each day she let me see the screen and explained what she was seeing. I think she was more excited than I was the day we saw that I had ovulated. I had really prepared myself to hear that I had LUFs, so I was a little, or a lot, shocked that I ovulated. Anyway, I want to get her a thank-you gift for being so kind and sweet (she even squeezed me one day when I needed an earlier appointment than the scheduler could give me). Any suggestions?
I did have a little scare during my insulin/glucose fasting and 2-hour check. I could tell I was getting hungry toward the end, and when I left I was definitely planning what I would eat when I got home. But, it was New Year's Eve and I stopped at the grocery store to pick up a few things. As I got close to the check-out, I was feeling pretty light-headed and woozy. I even dropped my ID and debit card when I tried to get them out of my wallet. I grabbed a Payday and checked out, almost grabbing it when the lady asked if I wanted to keep it out. As I walked to the car, I got the cold sweats and tingly. I ate the Payday and just say there for a few minutes. I started to feel better and decided I could make it home, where I had leftovers to heat up and plenty of cookies if I needed something more. Well, when I got home, Dr. D's office called - to see if I was OK. Apparently my glucose had dropped to 48 at the 2-hour mark - no wonder I felt so bad, as it was probably another 20 minutes after that when I was at the store. I was so grateful they'd called to check on me, as I suspect if they hadn't reached me they would have called The Man and I wouldn't have been left in a bad state too long, had I passed out or anything like that. I was told to take it easy the rest of the day, drink lost of water and eat a good dinner. That was our exact plan for our New Years' celebration, so it worked out well :).
Follicular Maturation Series
Follicle size and maturation was healthy and "normal". Ovulation looked healthy and "normal."
Lining of endometrium was too thin, not drastically, but enough to be noted and discussed.
My estradiol looked mostly good. It rose and fell normally, with a little bit of concern regarding the post-peak levels. The reason for concern is this can affect implantation.
CD 9 - 106.8
CD12 - 351.2
CD14 - 171.3 (which was actually P+1, I just didn't realize it at the time b/c of my awful CM and I had my blood drawn before my ultrasound. I suspected because I'd had a temp increase, but I knew I didn't have time for the blood draw after the ultrasound.)
P+3 - 74.2
P+5 - 100.6
P+7 - 112.7
P+9 - 129.2
P+11 - 134.6
My progesterone also looked good.
P+3 - 6.1
P+5 - 13.9
P+7 - 18.8
P+9 - 15.2
P+11 - 12.5
I didn't ask Dr. D, but has anyone else ever taken femera/chlomid and HCG for a time and had their numbers get and stay better after being off the meds for a time? (That is what seems to have happened.)
LH and FSH were still out of ratio. Dr. D. said they like to see close to 1:1, mine was more like 3:1.
LH - 14.2
FSH - 5.4
Ok, next up was my thyroid. TSH was within normal range (.45 - 4.5), but high for the range they like to see when TTC (1 - 2.5).
Free T4: .95
Finally, insulin/glucose results.
I don't have numbers (it's hard to write as fast as Dr. D talks and I didn't get a written copy of them). But there was no concern with this - it seems going gluten-free and running/exercise are paying off!
Surgery to recheck tubes, to see if endometriosis has recurred, and to take cultures of endometrial lining.
Synthroid - 25 mcg/day
FertileCM and Muccinex to improve mucus quality. (And I will be switching back to unscented dryer sheets for the underwear load of laundry.)
Discussed use of va.g.i.nal estrogen to improve post-peak estradiol and endometrial thickness. Didn't prescribe it, I wonder if she's waiting until after surgery?
She took cultures of my cervix and around my urethra (I'm prone to UTIs) and discussed possibility of prescribing an antibiotic to take daily to prevent UTIs. No prescription yet, waiting for results of cultures.
How I feel about all of this is a whole other post. One I'm not sure I can write just yet, as The Man and I have to make a decision regarding the surgery. If you've made it this far, if you would please say a prayer that we are of one mind in whatever our decision is. I will also say that while I'm grateful for lots of good news, I am overwhelmed by what could potentially lie ahead and I'm trying to take it one day and one decision at a time.